Volume 23 Issue 1
Jan.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(1): 89-93
SHAO Jie, HUANG Jiaoling, CHEN Jinzhi, GAO Zitian, HUANG Qian, ZHANG Yi, WANG Yulin. A study on the temporal and spatial differences in refractive progression among children aged 3-16 in Shanghai[J]. Chinese Journal of General Practice, 2025, 23(1): 89-93. doi: 10.16766/j.cnki.issn.1674-4152.003842
Citation: SHAO Jie, HUANG Jiaoling, CHEN Jinzhi, GAO Zitian, HUANG Qian, ZHANG Yi, WANG Yulin. A study on the temporal and spatial differences in refractive progression among children aged 3-16 in Shanghai[J]. Chinese Journal of General Practice, 2025, 23(1): 89-93. doi: 10.16766/j.cnki.issn.1674-4152.003842
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A study on the temporal and spatial differences in refractive progression among children aged 3-16 in Shanghai

doi: 10.16766/j.cnki.issn.1674-4152.003842
  • 1.

    Preventive Health Department, Pudong New Area Weifang Community Health Center, Shanghai 200122, China

Funds:

 PW2021A-62

 PWRq2021-32

 72274122

 HYXG-SQ07

 HYXG-SQ04

 GWVI-11.2-YQ54

  • Received Date: 2024-04-23
    Available Online: 2025-02-13
    Abstract
  •   Objective   Explore the characteristics and influencing factors of refractive development in children of different ages and refractive states in urban and suburban areas, and provide the scientific basis for precise prevention and control of myopia.   Methods   Using cluster sampling, a total of 10 652 children in the urban and suburban areas of Shanghai were surveyed to analyze the distribution, progression, and influencing factors of SE.   Results   Compared to the urban and suburban areas, the maximal SE change in the urban area is 7-9 years group [ΔSE (-0.96±1.19) D], while in the suburban area it is the 10-12 years group [ΔSE (-0.60±1.08)D]. Among the school-age children, the hyperopic group has the maximal ΔSE change over 2 years, followed by the pre-myopic group and the low myopia group. The high myopia group has the minimal progression (P < 0.05). The independent influencing factors of ΔSE for children aged 3-9 years are baseline age (β=-0.183), baseline SE (β=-0.267) and region (β=0.300), and for children aged 10-16 years, they are gender (β=-0.139), baseline age (β=0.130), baseline SE (β=-0.046), baseline astigmatism (β=-0.086) and region (β=0.288).   Conclusion   Preschool children should pay attention to their "hyperopia reserve"; Children aged 7-9 in urban areas, 10-12 in suburban areas, or with hyperopia pre-myopia are key monitoring and intervention targets. Improving the spatial spectrum of urban buildings, classrooms, and home layouts is also helpful.

     

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